Escolar Documentos
Profissional Documentos
Cultura Documentos
APPLICATION FORM
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ID-NUMBER
PERSONAL INFORMATION
(Please enclose a photocopy of your valid passport) 1. Names Last name__________________________________ Middle name(s) __________________ ___________ 2. Gender: Female Male ______/______/________ 3. First name ____________________________________ Prefer to be called ______________________________ Date of birth
(day/month/year)
ADDRESS(ES)
6. Mailing address (This address will be used for all admission correspondence) Number and street __________________________________________________________________________ City ____________________________________________________ Postal (Zip) Code _____________________ Country ___________________________________________________________________________________
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7. Permanent (home) address (if different from above) Number and street __________________________________________________________________________ City ____________________________________________________ Postal (Zip) Code _____________________ Country ___________________________________________________________________________________ Telephone _______________________________________ Fax ______________________________________
EDUCATION
8. Educational institution you currently attend or have attended last: Name _____________________________________________________________________________________ City________________________ Country________________________ Date of entry (day/month/year) ______/______/______ ______/______/______ 9. Language of instruction ______________________________________________________ 10. Name of the degree _____________________________________________________ (Expected) date of graduation
at
this
institution
received
or
expected
11. Please include certified (bearing the seal of the institution and the signature of the Head or the Registrar) photocopies of your diploma and/or (if you have not yet graduated) the last transcript indicating subjects taken and grades or credits earned. 12. Please include on a separate sheet a curriculum vitae, which gives an overview of your educational and professional experiences.
LANGUAGES
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mother
tongue?
Compulsory for non-native English speaking candidates: Please give your IELTS test score below or TOEFL internet-based score, and include a photocopy of the results: (for EPA a minimum IELTS score of 6.5 is required, and a minimum TOEFL iBT score of 90) _____________________________________________________________________________________________
15. Other languages Please indicate your proficiency native/good/reasonable/poor/none Language French German Spanish Italian
Other
in
other
languages
using
the
following
scale:
Speaking
Writing
Reading
MOTIVATION LETTER
16. Please explain on a separate (typed, not hand-written) sheet the motivation underlying your choice for the EPA Master programme at the Faculty of Arts and Social Sciences of Maastricht University.
LETTERS OF RECOMMENDATION
17. Please include two typed (!) academic letters of recommendation in sealed envelopes. In the case of considerable work experience, employers letters of recommendation are acceptable.
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FINANCIAL SUPPORT
18. How do you plan to finance your education? by myself (please note: non-EU students need a bank guarantee for the visa procedure) through my institute/employer I have obtained a fellowship (please include a copy of confirmation) I have applied for a fellowship from
19. How did you first learn about the EPA programme? Friends/Family Website Information fair Advertisement UM student School counsellor
Please use this box for any additional information you would like the Board of Admission to take into consideration and you feel is not sufficiently reflected in this application. If you need additional space you can attach a separate sheet of paper that clearly states your name. Please try to be brief.
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APPLICATION CHECKLIST
Please make sure you have done all of the following before sending in your application: Answered all questions on the application form Included a copy of your valid passport total number of pages __________ total number of pages total number of pages Included a certified copy of your bachelor certificate and/or list of grades __________
Included a copy of your IELTS/TOEFL iBT results (if applicable) __________ Included your motivation letter Included two letters of recommendation Included your curriculum vitae (typed!) Included information on financial support Signed the application form (with blue ink!)
total number of pages __________ total number of pages __________ total number of pages __________ total number of pages __________
SIGNATURE
I certify that all the statements I have made on this application form are correct and complete.
Date ______/______/________
Signature ____________________________________
Please send this application form and all supporting documents to the OSF Educational Advising Centre in your home country by 4 February 2013. Please ensure that you also apply online via Studielink (www.studielink.nl) + the My UM portal, where you must upload all required documents, except this application form.
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CONFIDENTIALITY
MAASTRICHT UNIVERSITY WILL TREAT ALL APPLICATIONS WITH THE GREATEST CONFIDENTIALITY
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